Active NPI
Lesley Claire Birbick
- Occupational Therapy Assistant
- Kernersville, NC
National Provider Identifier
1235003609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 13562
- Practice address
- 661 Naomi Ave
Kernersville, NC 27284-8350 - Phone
- (336) 339-1224
- NPI assigned
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 13562 | NC | Primary |
Addresses
Primary practice location
661 Naomi Ave
Kernersville, NC 27284-8350
Mailing address
661 Naomi Ave
Kernersville, NC 27284-8350
Phone (336) 339-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13562 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1235003609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 NAOMI AVE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848350",
"telephone_number": "336-339-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 NAOMI AVE",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848350",
"telephone_number": "336-339-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRBICK",
"first_name": "LESLEY",
"middle_name": "CLAIRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "13562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.